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Coding Compliance Analyst Jobs (NOW HIRING)

The Coding Compliance Specialist performs chart audits to provide documentation and analysis of the records reviewed to the rendering provider, Audit Manager, and Director Coding & Audit. Minimum ...

Conducts risk-based coding compliance audits and ad hoc audits of outpatient encounters to validate code assignment is in compliance with the official coding guidelines as supported by clinical ...

The Coding Compliance Specialist performs chart audits to provide documentation and analysis of the records reviewed to the rendering provider, Audit Manager, and Director Coding & Audit. Minimum ...

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Coding Compliance Analyst information

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$56

How much do coding compliance analyst jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for coding compliance analyst in the United States is $35.03, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $39.42 per hour, depending on experience, location, and employer.

What is a Coding Compliance Analyst?

A Coding Compliance Analyst is a healthcare professional who ensures that medical coding practices within an organization adhere to federal regulations, industry standards, and internal policies. They review clinical documentation and coding for accuracy, conduct audits, and provide education or feedback to staff to minimize errors and compliance risks. Their work helps prevent fraudulent billing, ensures proper reimbursement, and supports overall healthcare quality and integrity.

What are the key skills and qualifications needed to thrive as a Coding Compliance Analyst, and why are they important?

To thrive as a Coding Compliance Analyst, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and a relevant certification like CCS or CPC. Familiarity with coding audit software, electronic health records (EHRs), and compliance management tools is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for interpreting codes and collaborating with clinical staff. These skills ensure accurate coding, minimize compliance risks, and support optimal reimbursement for healthcare organizations.

What are some common challenges faced by Coding Compliance Analysts, and how can they be addressed?

Coding Compliance Analysts often encounter challenges such as keeping up with frequent regulatory changes, ensuring accurate documentation, and mitigating discrepancies between clinical documentation and coded data. To address these, analysts typically engage in continuous education, collaborate closely with clinical staff for clarification, and utilize audit tools to identify and resolve compliance issues. Strong attention to detail, proactive communication, and staying current with industry updates are essential to overcome these challenges effectively.
More about Coding Compliance Analyst jobs
BILLING & CODING COMPLIANCE ANALYST

BILLING & CODING COMPLIANCE ANALYST

Premier Health

Dayton, OH

Other

Posted 15 days ago


Job description

Premier System Support

110 N MAIN ST   DAYTON, OH 45402

DEPT: CORPORATE COMPLIANCE

Full-Time / Day Shift

 

Description

Are you a college graduate with healthcare experience and a certification such as RHIA, RHIT, CPC, CCS, CCS-P, or CPB? Join Premier Health as a Professional Billing and Coding Compliance Analyst. In this role, you will support the Corporate Compliance Program through auditing, monitoring, education, and investigative activities, ensuring adherence to regulations, policies, and standards. Showcase your professionalism, integrity, and commitment to Premier Health's mission and values while promoting a culture of safety and excellence.

 

  • Coordinate auditing and monitoring activities
  • Perform professional fee billing and coding audits
  • Conduct employee training
  • Research regulatory guidelines
  • Generate reports
  • Collaborate with team members
  • Identify compliance improvement opportunities
  • Participate in committees and workgroups
  • Ensure compliance with laws and policies

 

 

Note: Hybrid work environment

 

Qualifications/ Requirements:

  • Bachelor's degree in Health Information Management, Business, or related field

          *Years of experience will be considered in lieu of formal education

  • Certification in RHIA, RHIT, CPC, CCS, CCS-P, or CPB required
  • 1-3 years of job-related experience
  • Knowledge of EPIC, professional billing and coding, auditing principles, and Microsoft Office applications
  • Strong interpersonal skills and problem-solving abilities

If you are ready to contribute to a dynamic healthcare organization, apply now to join Premier Health as a Professional Billing and Coding Compliance Analyst. Make a difference in healthcare compliance and be part of a team dedicated to excellence and integrity.

Definitions: 

RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments

RHIT - Registered Health Information Technician An AHIMA credential for professionals who specialize in managing and analyzing medical records, ensuring data quality, and supporting coding and reimbursement processes. (Supported by AHIMA credential listings in search results.)

CPC - Certified Professional Coder An AAPC certification focused on outpatient medical coding using CPT, ICD-10-CM, and HCPCS Level II. It is one of the most widely recognized coding credentials in physician and clinic settings.

CCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Considered one of the most rigorous coding certifications.

CCS-P - Certified Coding Specialist-Physician-based An AHIMA credential similar to CCS but focused specifically on physician services and outpatient coding.

CPB - Certified Professional Biller An AAPC certification for professionals specializing in medical billing, claims management, reimbursement, and payer compliance.